Provider Demographics
NPI:1124109673
Name:OSIKA, CATHRYN P (WHNP)
Entity type:Individual
Prefix:MS
First Name:CATHRYN
Middle Name:P
Last Name:OSIKA
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209N 450W
Mailing Address - Street 2:
Mailing Address - City:RENSSELAER
Mailing Address - State:IN
Mailing Address - Zip Code:47978
Mailing Address - Country:US
Mailing Address - Phone:219-866-3645
Mailing Address - Fax:765-446-8160
Practice Address - Street 1:964 MEZZANINE DR.
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905
Practice Address - Country:US
Practice Address - Phone:765-446-8078
Practice Address - Fax:765-446-8160
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28137430A163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory